摘要
目的分析自发性蛛网膜下腔出血(SAH)全脑血管造影(DSA)的特征、并发症等情况。方法所有患者均行头颅CT证实为SAH,全部行DSA,对94例SAH患者的临床表现,Hunthess分级,头颅CT、DSA检查等资料进行分析。结果94例SAH患者临床症状以头痛、恶心为主。行DSA检查发现颅内动脉瘤46例,颅内动静脉畸形4例,硬脑膜动静脉瘘和海绵状血管瘤各1例。术中无1例有并发症发生,术后并发症预后良好。结论SAH患者出血原因以动脉瘤破裂为主。脑血管造影检查可以准确的评估动脉瘤的大小、位置等情况。
Objective To investigate the characteristics of cerebral angiography in the diagnosis of spontaneous subarachnoid hemorrhage（SAH）.Methods The data of 94 patients with SAH confirmed by head CT were analyzed.All the patients underwent digital substraction angiography（DSA）of whole cerebral vessels.The data of 94 patients with SAH were retrospectively reviewed for clinical symptoms,hunt-hess scale,cerebral angiography and complications.Results Acute headache and vomit were the early important clinical manifestations in patients with SAH. The abnormal vessels existed in 54.2% of the total cases. The major etiology of SAH was identified as intracranialaneurysm. Conclusion The intracranial aneurysms is the most common cause for SAH. The cerebral angiography can make accurate diagnosis of the intracranial aneurysm to anatomic position, appearance and size,which is chief instrument to confirm the cause of subarachnoid hemorrhage. DSA is an accurate and safe method to evaluate SAH.
出处
《河北医药》
CAS
2009年第15期1897-1898,共2页
Hebei Medical Journal
关键词
蛛网膜下腔出血
动脉瘤
脑血管造影
subarachnoid hemorrhage
aneurysm
cerebral angiography
